Awarded to ITOA member who in the performance of their duty distinguish themselves during a tactical operation by performing an act of Exceptional Bravery or Courage while conscious of the danger and at great risk of personal hazard to him/herself. May also be awarded to individuals who perform a heroic act during a tactical operation that by its very nature is lifesaving at great risk of personal hazard to him/herself. The award may also be bestowed upon a unit who as a whole distinguishes themselves Valorously.